<div class="bjui-pageContent">
    <form action="{:url('BlockArea/add')}" class="pageForm" data-toggle="validate" method="post">
        <table class="table-bordered table-condensed table-hover" width="100%">
            <tbody>
            <tr>
                <td>
                    <label for="j_area" class="control-label x85">地区名称：</label>
                    <input type="text" name="area" id="j_area" value="" data-rule="required;area;remote[{:url('BlockArea/same')}]" size="15" />
                    (可以是省、市、区)
                </td>
            </tr>
            <tr>
                <td style="height:35px;">
                    <label for="j_use" class="control-label x85">应用范围：</label>
                    <input type="checkbox" name="use_advert" id="j_use_advert" data-toggle="icheck" value="1" checked data-label="用于广告计划">&nbsp;&nbsp;
                    <input type="checkbox" name="use_domain" id="j_use_domain" data-toggle="icheck" value="1" data-label="用于域名屏蔽">
                </td>
            </tr>
            <tr>
                <td style="height:35px;">
                    <label for="j_used" class="control-label x85">使用状态：</label>
                    <input type="radio" name="used" id="j_used_1" data-toggle="icheck" value="0" data-label="未用&nbsp;&nbsp;">
                    <input type="radio" name="used" id="j_used_2" data-toggle="icheck" value="1" checked data-label="在用">
                </td>
            </tr>
            </tbody>
        </table>
    </form>
</div>
<div class="bjui-pageFooter">
    <ul>
        <li><button type="button" class="btn-close" data-icon="undo">取消</button></li>
        <li><button type="submit" class="btn-green" data-icon="save">保存</button></li>
    </ul>
</div>